NCT04608201

Evaluation of the Efficacy of Nicotine Patches in SARS-CoV2 (COVID-19) Infection in Hospitalized Patients

• Status: Completed
• Phase: Phase 3
• Study type: Interventional
• Enrollment: 32 (actual)
• Sponsor: Assistance Publique - Hôpitaux de Paris · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The coronavirus disease (COVID-19) epidemic represents a major therapeutic challenge. The highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and the long duration of the disease have led to a massive influx of patients admitted in health services and intensive care units. To current knowledge, there is no treatment yet that that can prevent infection from SARS-COV-2 virus, nor the disease progression to a severe form. Daily active smokers are rare among outpatients or hospitalized COVID-19 patients. Several arguments suggest that nicotine could be responsible for this protective effect thank to the nicotinic acetylcholine receptor (nAChR). Based on epidemiological data and experimental data from scientific literature, we hypothesize that nicotine could inhibit the penetration and spread of the virus and improve the management of COVID19 , particularly in hospitalized patients to prevent adverse outcomes (death, transfer to intensive care unit, care limitation, mechanical ventilation an high flow oxygen).

Conditions

• SARS-COV2

Interventions

Type	Name	Description
DRUG	Nicotine 7 mg/ 24h Transdermal Patch - 24 Hour	Treatment involves escalating doses to the target dose of 14 mg / day 1. / Dose escalation: * Level 1: 3.5 mg/day (1/2 patch) for 2 days (D1 and D2) * Level 2: 7 mg/day (1 patch) for 2 days (D3 and D4) * Level 3: 10.5 mg/day (1.5 patch) for 2 days (D5 and D6) * Level 4: target dose = 14 mg/day (from D7 to discharge from hospital + 1 week or maximum 5 weeks after the start of treatment) 2. / Decrease in dose (1 week after exit from hospital or maximum 5 weeks after the start of treatment): Decrease of 3.5 mg (1/2 patch) per week (over 3 weeks maximum)
DRUG	Placebo of NICOTINE Transdermal patch	Placebo of nicotine patch administered to the same administration schedule as in the experimental arm

Timeline

• Start date: 2020-12-09
• Primary completion: 2021-11-05
• Completion: 2021-11-05
• First posted: 2020-10-29
• Last updated: 2022-02-11

Locations

1 site across 1 country: France